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i’ve got big boluses and i cannot lie

Oh. My. Gawd. Janice is wreaking havoc on Madeline’s body. Puberty’s effect on a diabetic is no joke, people.

The carb ratio is now 1:5.  That’s 1 unit of insulin for every 5 carbs eaten. So basically we’ve reached the point where there are no more “free” foods. Plus, I find myself padding the carb total by about 20% when the carb source comes from grains. So while the packaging may say that the oat and flax wrap has only 11 carbs, we bolus for 14.

The correction factor is now 1:11. So she needs 1 unit of insulin to reduce her glucose level by a whopping 11 points.

The basal program delivers a range of insulin depending on the time of day; it’s set to provide between 2.0 to 3.2 units of insulin every hour just to keep her glucose level in check.

I was scrolling through total daily dose data for the last week:  114 units, 120 units, 132 units, 97 units, 133 units, 110 units, and 144 units. I try to ignore the ugly fact that these doses are plenty enough to kill a person.

I’m constantly second guessing the amount of a bolus or a basal rate, but time and again I learn that yes, she really needs that much insulin.  Even with the aggressive approach, though, the Verio Sync data indicates that Madeline’s BG has been in range only 54% of the time over the past 90 days. 40% high… ugh.

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About Heather Garcia Queen

I am… a mother of 3 spectacular children. A wife of an architect extraordinaire. An MSW. A psychologist in an elementary school. A (wishful) writer. A protector of family and spirit. A worshipper of the natural world. A seeker of knowledge. A lover of the arts. An introvert. A silver-lining kind of girl.

Discussion

4 thoughts on “i’ve got big boluses and i cannot lie

  1. This is good to know. So far our beefiest I:C is 1:10, and biggest basal is 1.0 u/hour…and it feels so scary—just because of the memory of never giving more than, say, 2u at a time for a bolus and the biggest basal segment being 0.5u/hour. Just the constant changes…so much getting used to things.

    Posted by Katy | 05/19/2015, 11:15 pm
  2. We’ve had to do some similar increases certain weeks out of the month. At least basal and Bolus. Correction factor has been 30 at the greatest. Kiddo is 11. The first time I saw that TDD exceeded 100 units I was like “ahhhhh!” She’s still averaging much less (around 65-70 TDD) but it’s doubled in the last year, easily.

    Also… Yes it’s enough insulin to kill someone. But I try to remind myself NOT giving it to her (or enough of it) is enough to kill her too.

    Posted by type1dmom | 05/24/2015, 12:38 pm

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